SEA/RC26/2 Page 75 ACTIVITIES UNDERTAKEN BY GOVERNMENTS WITH THE HELP OF WHO SEAlRC2612 Page 77 PROJECT LISl This part of the report contains a list of the projects for which WHO has given assistance during the whole or part of the period under review, listed by country. Inter-country and inter-regional projects are listed at the end. In general, projects for which no active assistance, in the form of field staff, fellowships or supplies, was given during the period covered are not included. Also omitted from the list are projects for which techni- cal advice from the Regional Office or Headquarters was the only assistance given, and projects assisted only by grants-in-aid. In the first column (under "project No., Source of Funds, Co-operating Agencies") "R" means the Regular budget; "UNDP" the United Nations Develop- ment Programme; "UNFPA" the United Nations Fund for Population Activities; "FUNDWI" the Fund of the United Nations for the Development of West Irian; "UNICEF" the United Nations Children's Fund, and "US AID" the United States Agency for International Development. Names of co-operating agencies,except for UNICEF, whether or not they have contributed funds, are given in paren- theses. In the second column, under the title of the project, the starting and, where relevant, finishing dates are shown within brackets. The "Aim of the project" states the purpose for which it was under- taken by the Government concerned, and is not related to the form or extent of WHO'S assistance. Projects entitled "Fellowships" list those which do not form part of assistance to a larger project; other fellowships are shown under the projects concerned. It should also be noted that there are a number of projects not included in the list for which UNICEF is furnishing supplies and WHO technical advice only (with no special personnel being provided). SEAlRC2612 Page 79 1. BANGLADESH PROJECT LIST Proi ect No. Source of Funds Agencies Bangladesh 0001 Malaria Eradication R (Nov. 1972; - ) Aim of the proiect. To eradicate malaria from the entire country in progressive stages. Assistance provided by WHO during the year. (a) Temporary assistance from two consultants provided under SEARO 0007; (b) supplies and equipment. Probable duration of assistance. Some years. Work done during the year. The malaria eradication programme started in 1961, when the entire population of the country was considered to be at malaria risk. The country was grouped into three regions and 31 malaria eradication zones were created in the 19 administrative districts, and a phased programme to achieve complete eradi- cation of malaria by 1975 was formulated. The programme has now completed its eleventh year of operation. Spraying and surveillance were carried out in all the operational zones as planned every year (except in 1971). generally following the plan of operation. Out of the total of 66.292 million people in Bangladesh, 25.368 million are in the pre-maintenance phase, 32.697 million in the consolidation phase and 8.227 million in the attack phase. An independent assessment was carried out in February-March 1973 and is des- cribed under project SEARO 0007. During 1972, 17 537 positive blood slides were recorded, a£ which 13 649(77.8%) were from areas in the attack phase, 3 663 (20.9%) from those in the consolidation phase, and 225 (1.3%) from pre-maintenance areas. The annual parasite incidence in consolidation and pre-maintenance areas was O.ll%o and 0.02Xo respectively. A scheme of integrated healtt services was under trial in the Tangail pilot project. Bangladesh 0002 Tuberculosis Control R (Nov. 1972; March 1973; - ) Aim of the project. To develop a national tuberculosis programe integrated into the basic health services, to formulate and implement a plan of operation, train key personnel, and prepare a suitable assessment methodology for the programme. Assistance provided by WHO during the year. (a) A three-month fellowship for study in India and a four-month fellowship for studies in Czechoslovakia and Sri Lanka; (b) supplies and equipment. Probable duration of assistance. A number of years. SEA/RC26/2 Page 80 Bangladesh 0003 Smallpox Eradication R (March 1972 - ) Aim of the project. To develop the smallpox eradication programme. Assistance provided by WHO during the year. (a) Four medical officers, a consultant laboratory technician, a consultant operations officer, and assistance from a Head- quarters staff member: (b) a six-month fellowship for studies in the United Kinzdom,- Switzerland and India; (c) supplies and equipment. Probable duration of assistance. Until 1975. Work done during the year. After a successful smallpox eradication programme had given 18 months of freedom from the disease, outbreaks were reported once more in early 1972, following the return of smallpox-infected refugees. A total of 32 852 cases were reported from 1 July 1972 to 30 June 1973. With the assistance of bHO, the smallpox eradication programe was rapidly re-established, An effective vaccination drive was organized, and a number of surveillance teams were created at the divisional, district and sub-divisional levels. With the spread, in early 1973, of the disease to all the districts in the country with the exception of Chittagong Hill Tracts, the efforts were intensified. Additional staff was recruited, provi- sion being made to ensure their mobility. Throughout the country work on active search for cases, reporting and containment of outbreaks, and vaccination of the un- protected was accelerated. The services of malaria workers and other health staff were utilized to assist in the reporting of cases and vaccination of the population, and special vaccination campaigns, using "ped-o-jets" to ensure a wide coverage, were launched in the most vulnerable municipalities. Priority measures were taken in the eastern wing of the country bordering Burma and in those areas adjoining the smallpox-free eastern States of India, into which some importations from Bangladesh had occurred. WHO assisted the prograume by the provision of long-term medical officers and consultants. Supplies and equipment and financial subsidies were also provided. Support by GRlO was also given for the training of SEP staff, the development of a laboratory for smallpox diagnosis, and the local production of freeze-dried vaccine. Smallpox vaccine was provided, when necessary, directly by the Organization or through bilateral sources. Plans were drawn up to provide further WHO support later in 1973 in the farm of five WHO consultants who will each assist the programme in a given area. Bangladesh 0004 Leprosy Control R (April 1973 - ) Aim of the project. To formulate and implement a national leprosy control programme, integrated into the general health services. Assistance provided by WHO durin~the year. A consultant leprologist. Probable duration of assistance. A number of years. Work done during the year. The leprosy control project is located at Mitford Hospital, Dacca, and the peripheral organization has four units, each consisting of a mobile unit, a clinic and a ward. The total number of cases registered under the care of the four units is 20 846, of which 4 699 (22.5%) are lepromatous. Males constitute 70% of the total patients. A WHO consultant took up a nine-month assignment early in April to advise and assist in the organization and implementation of a leprosy control program, including the training of staff. The epidemiologist attached to the inter-country team on epidemiological surveillance and training visited the project early in 1973 for discussions on the activities. SEA/RC26/2 Page 81 Bangladesh 0006 Strengthening of Epidemiological Services R (Aug. 1972; Feb. 1973; - ) m DP Aim of the project. To establish and implement a programe for the epidemiological control and surveillance of infectious diseases of public health importance. Assistance provided by WHO during the year. (a) Two six-week fellowships for study in India and a twelve-month fellowship for study in the United Kingdom; (b) supplies and equipment. Probable duration of assistance. Some years. Bangladesh 0007 Cowunity Water Supply and Sanitation R (kc. 1972 - ) Aim of the project. To plan, organize and administer a national environmental health programe and, more specifically, to expand the national community water supply and other environmental health programmes. Assistance provided by WHO during the year. (a) A sanitary engineer, two consultants and assistance from a sanitary engineer assigned to project SEAR0 0064; (b) four two-month fellowships for studies in India, Thailand, Singapore and the Philippines; (c) supplies and equipment. Probable duration of assistance. A number of years. Work done during the year. The project commenced in December 1972, when a consultant was assigned to assist the Government in carrying out an assessment of public health laboratory facilities in the country and in investigating the possibility of setting up of a public health engineering research institute. In January-February, another consultant studied the post-graduate training programme in sanitary engineering at the Bangladesh University of Science and Technology with a view to suggesting any necessary strengthening of staff and laboratory facilities. Their recommendations were submitted to the Government. A WHO sanitary engineer joined the project in March and has been assisting in the planning, design, execution and maintenance of water supply and sanitation schemes, particularly in rural areas. A two-month study tour was arranged for some senior national engineers to observe community water supply programmes in some Asian countries. The programme receives material and equipment from UNICEF, mainly for tubwell handpumps. Bangladesh 0009 Organization of Health Services and Planninq R (Jan. 1973 - ) Aim of the project. To establish and strengthen a sound organization for health planning in the Ministry of Health, to train personnel in health planning, to develop a health information system, including evaluation, to plan efficient inte- grated rural health services, including the development of a referral system, and plan health and manpower studies with the aim of improving the delivery of medical care with emphasis on rural areas.